| Organization Name: | TRADEMARK SERVICES LLC |
| NPI Number: | 1033592027 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TZIPORA GOLD (NURSE PRACTITIONER) |
| Mailing Address: | 3419 Us Highway 9 Freehold |
| State: | NJ US |
| Postal Code: | 077283284 |
| Phone Number: | 7326771200 |
| Fax Number: | |
| NPI Enumeration Date: | 07/08/2015 |
| NPI Last Update Date: | 07/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 26NJ00410800 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |